NPIMap

Organization Active NPI

John Brooks Recovery Center , a New Jersey Nonprofit Corporation

  • Substance Abuse Rehabilitation Facility
  • Mays Landing, NJ
National Provider Identifier
1790308708
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
JOHN BROOKS RECOVERY CENTER , A NEW JERSEY NONPROFIT CORPORATION
Practice address
1455 Pinewood Blvd
Mays Landing, NJ 08330
Phone
(609) 345-2020
Fax
(609) 646-7027
NPI assigned
May 26, 2020
Last updated
May 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edward John Pallies
Title
Cfo
Phone
(609) 345-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1455 Pinewood Blvd
Mays Landing, NJ 08330

Mailing address

660 Black Horse Pike
Pleasantville, NJ 08232-2360
Phone (609) 345-2020

National Provider Directory

National Provider Directory
Tax ID family
John Brooks Recovery Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1790308708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322360",
            "telephone_number": "609-345-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 PINEWOOD BLVD",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "08330",
            "telephone_number": "609-345-2020",
            "fax_number": "609-646-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BROOKS RECOVERY CENTER , A NEW JERSEY NONPROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "PALLIES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-345-2020"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mays Landing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.